A nurse in a community health clinic is preparing

to administer an immunization to a 5 year old child.

which of the following actions should the nurse take?

a. Ask the child to pretend to blow up a balloon during

the injection

b. Reassure the child that the injection is not going to

hurt

c. Ask the child's parent to leave the room during the

injection.

d. Request that the child count backwards from the

number 10 during the injection

2. A nurse is conducting a home visit with a client

who reports a history of partner violence.The nurse

should identify that which of the following finings

places the client at greatest risk for partner violence?

a. client is 13 weeks gestation

b. client states they are leaving their partner

c. client recently started a job

d. client visits friends without the partner's knowledge

3. A case manager is developing a plan for a client who

has a spinal cord injury and in a rehab facility. Which

of the actions should the nurse take first?

a. Hold a care conference with the client to discuss

treatment options

b. Contact service providers to determine the availability of services offered.

answer: A

The nurse should

ask the child to

pretend to blow

up a balloon during the injection.

This serves as a

distraction for the

child, which decreases pain perception.

answer: B

A client's decision

to leave their partner places them

at greatest risk for

partner violence

because the perpetrator can view

the client as a possession and fear

loss of control.

Whether the client

actually leaves the

relationship or just

threatens to leave,

the client is at

greatest risk for violence during this

time.